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A member asked:
Can an ileoproctostomy be performed after a subtotal colectomy with ileostomy placement has already been done?
2 doctors weighed in across 2 answers
Ileoproctostomy: Ileoproctostomy can be done after ileostomy provided the particular patieint is a candidate for the takedown and anastomosis of the ileum and the rectum.
Answered 5/13/2015
3.7k views
Yes: After removal of all colon to the peritoneal reflection or just below, there is a stump of distal bowel that remains. In many cases the surgeon can anastomosis proximal bowel to the anal stump at the levators . (the muscles of the rectal sphincter). If an exiting ileostomy is present, a pouch can be formed and anastomosed to the region just above rectum.
Answered 8/5/2015
2.5k views
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If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it removed?
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